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<br />APPLICATION FOR PERl'IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />/1/l;T2;/L~ .>F?/l1114 <br />;-;;-; f (}-/l? L- /?? L/ t> <br />OWNER .>'IIA1~ <br />JOB LOCATION .$ 11 )Y(;? <br /> <br />PHONE <br /> <br />"/ ,f'j~-6b71 <br /> <br />APPLICANT <br /> <br />'. <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br />WORK ~ROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />____sign/Temp. <br /> <br />_Sign <br /> <br />_Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />-Lcommercial <br /> <br />~/F) <br /> <br />_t~ of Uni ts <br /> <br />.._M/H <br /> <br />_Indust. <br /> <br />_Swim.. Pool <br /> <br />Other <br /> <br />_Restaurant << Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS << (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS << (1) SET E~ERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMtTS REOUESTED <br /> <br />_BUILDING <br /> <br />,. <br /> <br />$~~/S'<9. .YO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~MECHANICAL <br />____PLUMBING <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ .L~ //S-01,?rV <br />- <br /> <br />Valuation of Mechanical Installation <br /> <br />.""'.. . <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br />****************************************** <br /> <br />BlJTLDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />_ _ .. . City License Registration ff <br />****** *,\-'if********* ***.** * * ** ** * * * i: * i: * ** * ** * <br /> <br />ET .ECTRT ClAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 4~ <br />qity License Registration ff <br />'. ***.***.**,*********************************i, <br /> <br />PLUMBER <br /> <br />